Randolph, Michelle L

Randolph, Michelle L is an sole proprietor health care provider with primary practice located at 2741 Debarr Road Suite 402 , Anchorage AK 99508. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Randolph, Michelle L can be contacted via phone (907) 531-5213.

Contact Information

Primary practice address
2741 Debarr Road Suite 402 Anchorage AK 99508
Phone: (907) 531-5213
Fax: (907) 531-5013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 7641 Alaska

Profile Details

NPI number 1346209756
LBN Legal business name Randolph, Michelle L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Oct 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346209756 NPPES
Alaska MEDICAID 1583849

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